Early Dismissal Request
Complete this form to request an early dismissal to the attendance office. 

Early Dismissal Request must be submitted by noon (12:00pm) on day of dismissal. After 12:00pm, a parent or an emergency contact must come to the office to sign out the student. We do not accept phone calls or emails for early dismissal. This form will not be monitored after 12:00pm.

This form DOES NOT constitute an excuse for any missed time. The student MUST still come to the Attendance Office to sign out at the designated dismissal time. 
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Student Name *
Student Date of Birth *
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Student Grade *
Name of person making the request *
Contact Phone Number  *
Email Address *
Dismissal Date *
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DD
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YYYY
Dismissal Time *
Time
:
Reason for Request *
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